Scar reduction

What is a scar reduction ?

A scar is the tissue that fills the wounds and the lost matter of tissues and organs. Indeed, the scar tissue forms every time a solution of continuity occurs in the skin (epidermis and dermis) as a consequence of a pathological or traumatic event. There are many ways to treat scars for scar removal. From over-the-counter creams to vitamin E oil to surgery , people have had success reducing and in some situations, removing scars. Scars are a part of the healing process. When there is a wound to the skin, scar tissue forms over the injury to protect it as it heals. After the wound heals, the scar tissue remains. People scar at different rates and in different ways.

Who are the best candidates for the belphroplasty ?

The best candidates for this surgery are women and men whose skin show the first signs of weakness but still have good elasticity.

What type of anaesthesia is used ?

Scar revision is normally performed under local anaesthesia and in outpatient care, and its length varies depending on the kind of scar to be treated.

What are the different kinds of scars ?

There are essentially two kinds of pathological scars: keloids and hypertrophic scars.

Keloide is a neoformation, thick, red, itchy or aching which results from a scar, but always develops outside the scar that originates it. Keloids form very rarely and may appear everywhere, but especially in the thoracic area near the sternum, on the auricles and on the shoulders and are more frequent within the black population.

Hypertrophic scars are often mistaken for keloids, but unlike what happens in the latter, the excess scar tissue remains within the scar, which appears red and protruding. It is often associated with pruritic symptomatology and sometimes with local pain.

What influences the quality of a scar ?

The quality of a scar, whether resulting from traumatic events or from surgery, depends mainly upon the way the skin of the individual tends to recover and, to a lesser extent, upon the kind of event that caused it to form and on the precautions taken during the recovery period.
The factors that influence the growth of a scar are numerous: in general, light-complexioned individuals are more likely to have good quality scars than dark-complexioned (Mediterranean) ones. Moreover, in certain areas of the body, scars tend to be more evident by nature, such as in the thoracic area, behind the ears and on the shoulders.

However, there are situations in which the probability of growth of a bad scar is not dependent on the characteristics of the individual; this happens with the scars resulting from deep-second or third degree burns or from complex traumas.

Is it possible to remove scars ?

Unlike what many people think, scars are permanent marks that cannot be eliminated by any surgical technique: they can only be improved.

What kind of treatment can be used to improve scars ?

Keloidal and hypertrophic scars can be improved both through medical treatment and surgical treatment.
Before resorting to surgery for scar revision, it is normally advisable to consider all the other possible medical treatments aiming at improving the appearance of the scars, especially if these are not so evident, because surgery might produce little result.
Anyhow, before resorting to surgery it is necessary to wait about one year after the event that caused the scar to form. During this period, indeed, the scar goes through many transformations which make it evident especially in the first three months, till it maturates and takes its definitive shape.

What happens during the pre-operative examination ?

The surgical treatment of scars is a very customized operation which, as such, requires an accurate specialist examination.
During the first examination, the surgeon will assess the quality and the size of the scar and show you the cosmetic result which is actually possible to achieve.

The surgeon will also assess your physical condition in order to exclude the presence of troubles (such as clotting or healing disorders, high blood pressure, etc.) which might affect the final result of the operation. At the end of the examination, the surgeon, in tune with you, will choose the surgical procedure most suitable for your situation. Before the operation you will receive specific information about the preoperative and postoperative diet and the use of drugs, alcohol and cigarettes.

What happens during the post-operative period ?

To achieve as good as possible results, it is essential that, after scar revision, you keep strictly to the instructions the surgeon will give you from time to time.
During the post-operative period, you are advised to use medical aids on the new scar while it is developing, in order to minimize the probability that a bad quality scar will form. The specialist will show you the procedure and timing of such treatments during the follow-up visits.

Your normal activity will be resumed depending on the kind of operation you have undergone.
For simple revisions of small scars performed under local anaesthetic, it is usually possible to resume one's daily activities as early as the day after the operation.

What kind of result can be obtained by scar revision ?

The cosmetic result varies depending on the reaction of the individual and is influenced by several factors (the type of complexion, the area of the body, etc.).
The result is permanent and will be achieved definitively about one year after the operation.

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